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\begin{abstract}  HELP suggests This is a preliminary report of an small interdisciplinary study of application of  the abstract should contain four elements. self-directed reflective thinking to reduction of medical error. Medical error produces significant mortality, morbidity and disability. Large amounts of money and clinical and research effort have been applied to efforts to reduce prevalence and incidence. These efforts have mainly been applied to hospitals, clinics and large medical groups. Overall reduction of error has been disappointing perhaps due to increasing technical complexity and many changes in medical practice and administration.  The focus of this report is on efforts to deal with these problems at an individual and small group level. Personally and in our circles of friends and acquaintances many errors and near misses occurred. Emotional immediacy was a strong motivator to pursue causes and remedies. We wrote written case reports, searched medical, organizational, anthropological, psychiatric and psychoanalytic and philosophy of science literature for ideas in developing relatively simple, grounded, solutions at the level of work in the trenches of medical care.  \end{abstract}